The Patient Centered Medical Home (PCMH)-- The PCMH is a new model for primary care redesign endorsed by the Pediatrics, Internal Medicine and Family Medicine specialty societies as well as many of the major healthcare payers (including the U.S. government).
Heart failure can be ongoing (chronic), or your condition may start suddenly (acute). Heart failure signs and symptoms may include: 1  Shortness of breath (dyspnea) when you exert yourself or when you lie down. 2  Fatigue and weakness. 3  Swelling (edema) in your legs, ankles and feet. 4  Rapid or irregular heartbeat. 5  Reduced ability to exercise. 6  Persistent cough or wheezing with white or pink blood-tinged phlegm.
In right-sided congestive heart failure, the weak pumping of the heart allows blood to back up in the veins that lead from the body to the heart. This leads to swelling of the lower extremities (edema) and other symptoms. For more information on symptoms and complications, refer to symptoms of congestive heart failure. Making a diagnosis of congestive heart failure includes a complete medical evaluation, medical history and physical examination.